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Background: Agrammatic speakers have problems with grammatical encoding and decoding. However, not all syntactic processes are equally problematic: present time reference, who questions, and reflexives can be processed by narrow syntax alone and are relatively spared compared to past time reference, which questions, and personal pronouns, respectively. The latter need additional access to discourse and information structures to link to their referent outside the clause (Avrutin, 2006). Linguistic processing that requires discourse-linking is difficult for agrammatic individuals: verb morphology with reference to the past is more difficult than with reference to the present (Bastiaanse et al., 2011). The same holds for which questions compared to who questions and for pronouns compared to reflexives (Avrutin, 2006). These results have been reported independently for different populations in different languages. The current study, for the first time, tested all conditions within the same population.
Aims: We had two aims with the current study. First, we wanted to investigate whether discourse-linking is the common denominator of the deficits in time reference, wh questions, and object pronouns. Second, we aimed to compare the comprehension of discourse-linked elements in people with agrammatic and fluent aphasia.
Methods and procedures: Three sentence-picture-matching tasks were administered to 10 agrammatic, 10 fluent aphasic, and 10 non-brain-damaged Russian speakers (NBDs): (1) the Test for Assessing Reference of Time (TART) for present imperfective (reference to present) and past perfective (reference to past), (2) the Wh Extraction Assessment Tool (WHEAT) for which and who subject questions, and (3) the Reflexive-Pronoun Test (RePro) for reflexive and pronominal reference.
Outcomes and results: NBDs scored at ceiling and significantly higher than the aphasic participants. We found an overall effect of discourse-linking in the TART and WHEAT for the agrammatic speakers, and in all three tests for the fluent speakers. Scores on the RePro were at ceiling.
Conclusions: The results are in line with the prediction that problems that individuals with agrammatic and fluent aphasia experience when comprehending sentences that contain verbs with past time reference, which question words and pronouns are caused by the fact that these elements involve discourse linking. The effect is not specific to agrammatism, although it may result from different underlying disorders in agrammatic and fluent aphasia.
Aims: The goal of this study is twofold. First, it aims to untangle tense problems from problems with past time reference through verb morphology in people with aphasia. Second, this study aims to compare the production of time reference inflection by people with agrammatic and fluent aphasia.
Methods & Procedures: A sentence completion task was used to elicit reference to the non-past and past in Dutch. Reference to the past was tested through (1) a simple verb in past tense and (2) a verb complex with an auxiliary in present tense + participle (the present perfect). Reference to the non-past was tested through a simple verb in present tense. Fourteen agrammatic aphasic speakers, sixteen fluent aphasic speakers, and twenty non-brain-damaged speakers (NBDs) took part in this study. Data were analysed quantitatively and qualitatively.
Outcomes & Results: NBDs scored at ceiling and significantly higher than the aphasic participants. Agrammatic speakers performed worse than fluent speakers, but the pattern of performance in both aphasic groups was similar. Reference to the past through past tense and [present tense auxiliary + participle] was more impaired than reference to the non-past. An error analysis revealed differences between the two groups.
Conclusions: People with agrammatic and fluent aphasia experience problems with expressing reference to the past through verb inflection. This past time reference deficit is irrespective of the tense employed. The error patterns between the two groups reveal different underlying problems.
Background: Word retrieval in aphasia involves different levels of processinglemma retrieval, grammatical encoding, lexeme retrieval, and phonological encodingbefore articulation can be programmed and executed. Several grammatical, semantic, lexical, and phonological characteristics, such as word class, age of acquisition, imageability, and word frequency influence the degree of success in word retrieval. It is, however, not yet clear how these factors interact. The current study focuses on the retrieval of nouns and verbs in isolation and in sentence context and evaluates the impact of the mentioned factors on the performance of a group of 54 aphasic speakers.Aims: The main aim is to measure the effect of word frequency on the retrieval of nouns and verb by disentangling the influence of word class, age of acquisition, imageability, and lemma and lexeme frequencies on word retrieval in aphasia.Methods & Procedures: Four tests for retrieval of nouns, verbs in isolation, and infinitives and finite verbs were administered to 54 aphasic speakers. The influence of lemma and lexeme frequency, Age of Acquisition on the word retrieval abilities was analysed.Outcomes and Results: Word class, age of acquisition, and imageability play a significant role in the retrieval of nouns and verbs: nouns are easier than verbs; the earlier a word has been learned and the more concrete it is, the easier it is to retrieve. When performance is controlled for these factors, lemma frequency turns out to play a minor role: only in object naming does it affect word retrieval: the higher the lemma frequency of a noun, the easier it is to access. Such an effect does not exist for verbs, neither on an action-naming test, nor when verbs have to be retrieved in sentence context. Lexeme frequency was not found to be a better predictor than lemma frequency in predicting word retrieval in aphasia.Conclusions: Word retrieval in aphasia is influenced by grammatical, semantic, and lexical factors. Word frequency only plays a minor role: it affects the retrieval of nouns, but not of verbs.
Background: Research on language comprehension in aphasia has primarily focused on comprehension of isolated words and sentences. Even though previous studies have provided insights into comprehension abilities of individuals with aphasia at the word and grammatical level, our understanding of the nature and extent of their language comprehension (dis)abilities is not yet complete. In contrast to the highly restricted semantic and syntactic interpretation of sentences, discourse comprehension requires additional pragmatic and non-linguistic skills.Aims: The purpose of this study was to assess language comprehension in individuals with and without aphasia at the discourse level. In particular, it addressed the question of whether the use of direct speech, compared to indirect speech, affects comprehension of narrative discourse in Dutch aphasic and non-brain-damaged (NBD) listeners.Methods & Procedures: The Direct Speech Comprehension (DISCO) test was developed to examine the effects of manipulating direct vs. indirect speech on discourse comprehension. Twenty-three individuals with aphasia and 20 NBD participants were presented with spoken narratives that contained either direct or indirect speech reports. The narratives were presented audio-visually on an iPad, and comprehension was assessed with yes/no questions.Outcomes & Results: The performance of the participants with aphasia was significantly poorer than that of the NBD participants. Moreover, a main effect for condition type was found, indicating that narratives with direct speech reports were better understood than narratives with indirect speech reports by listeners with and without aphasia. There was no interaction between group and condition type indicating that this main effect held for both the aphasic and the NBD listeners. However, for the participants with aphasia, there was an interaction between condition and Token Test error score indicating that the positive effect of direct speech constructions diminishes for individuals with poorer comprehension.Conclusions: Direct speech constructions facilitate language comprehension in listeners with and without aphasia. One explanation for this finding is the occurrence of additional layers of communication, such as intonation and facial expression, often accompanying direct speech constructions. An alternative account is the degree of grammatical complexity: In Dutch, the syntactic construction of indirect speech requires embedding, whereas in direct speech the introductory sentence and the quote are both main clauses. The finding that the beneficial effect of direct speech on language comprehension diminishes for individuals with severe aphasia may indicate that the DISCO is too difficult for them to reveal an effect of a subtle manipulation such as that of condition type.
Background: Comprehension of reversible sentences that have derived word order has often been reported as impaired in agrammatic aphasia. Most accounts of this phenomenon refer to the syntactic differences between derived and base word order of the arguments. However, it has been demonstrated that in agrammatic spontaneous speech in standard Indonesian (SI) passives are produced at a rate that is proportional to that of healthy speakers. The main difference between passives in SI and in other languages is the frequency with which passives are used: passives in SI are highly frequent. The high frequency can be explained by the fact that passives are used for politeness reasons, saliency of the passive morphology, earlier acquisition, and formal simplicity of the passive structure.
Aims: The purpose of the current study is to investigate comprehension of the passive as a derived structure in SI and the influence of frequency.
Methods & Procedures: A sentence-to-picture matching task was developed to test four reversible sentence types (active, passive, subject cleft and object cleft). There are three variables that are of interest, that is, word order, embedding and relative frequency of structures. Eleven agrammatic speakers classified as suffering from Broca’s aphasia were tested.
Outcomes & Results: The passive sentences were comprehended equally well as the active sentences. Embedding had limited effects: subject clefts were understood as well as actives and passives. Object clefts, however, were understood poorly and significantly worse than the three other sentence types.
Conclusions: The sentence comprehension deficit pattern shown in SI individuals with Broca’s aphasia introduces frequency of a syntactic structure as an additional factor to consider. Whether frequency or pragmatic constraints protects against erosion of the passive in Broca’s aphasia in SI remains an open question.
Background: In a previous study, we demonstrated that narratives containing direct speech constructions were easier to comprehend than narratives with indirect speech constructions for Dutch listeners with and without aphasia. There were two possible explanations for this finding: either that direct speech has increased liveliness compared to indirect speech or that direct speech is less grammatically complex.
Aims: This study aimed to provide further insight into the mechanisms underlying the differences between direct and indirect speech constructions on discourse comprehension in Dutch. More specifically, it aimed to examine the role that the grammatical characteristics of direct and indirect speech play in discourse comprehension success by comparing English- and Dutch-speaking individuals with and without aphasia.
Methods & Procedures: An English version of the Dutch iPad-based Direct Speech Comprehension (DISCO) test was developed. Twenty individuals with aphasia and 19 neurologically healthy control participants were presented with spoken narratives that contained either direct or indirect speech constructions. Their performance was compared to that of the participants of the Dutch DISCO study. To assess the effect of language on performance, we conducted a single analysis in which we contrasted the English data with the Dutch data.
Outcomes & Results: Control participants performed better than participants with aphasia; English-speaking participants performed worse than Dutch participants, and narratives containing direct speech were easier to comprehend than narratives with indirect speech constructions. However, a subsequent analysis including only individuals with aphasia showed that the Dutch group differed from the English-speaking group: direct speech was only beneficial for the Dutch participants with aphasia.
Conclusions: This study expanded on the findings of a previous study, in which a facilitating effect of direct over indirect speech constructions for audiovisual discourse comprehension was found. The differential effects of direct speech on comprehension in Dutch and English showed that rather than one or other explanation being "correct", both liveliness and grammatical characteristics play a role in discourse comprehension success. Grammatically less complex constructions (direct speech) are not necessarily always easier to comprehend than grammatically more complex constructions (indirect speech) for individuals with aphasia. In our study grammatically simple constructions introduced grammatical ambiguity and therefore possible interpretation difficulties for the English-speaking participants with aphasia.
Das Herbsttreffen Patholinguistik wird seit 2007 jährlich vom Verband für Patholinguistik e.V. (vpl) durchgeführt. Das 6. Herbsttreffen mit dem Schwerpunktthema "Labyrinth Grammatik: Therapie von syntaktischen Störungen bei Kindern und Erwachsenen" fand am 17.11.2012 in Potsdam statt. Im vorliegenden Tagungsband finden sich alle Beiträge der Veranstaltung: die vier Hauptvorträge zum Schwerpunkthema, die Vorträge aus Praxis und Forschung von vier Patholinguistinnen in der Reihe Spektrum Patholinguistik sowie die Abstracts der Posterpräsentation.
Background: The distribution of pronouns varies cross-linguistically. This distribution has led to conflicting results in studies that investigated pronoun resolution in agrammatic indviduals. In the investigation of pronominal resolution, the linguistic phenomenon of "resumption" is understudied in agrammatism. The construction of pronominal resolution in Akan presents the opportunity to thoroughly examine resumption. Aims: To start, the present study examines the production of (pronominal) resumption in Akan focus constructions (who-questions and focused declaratives). Second, we explore the effect of grammatical tone on the processing of pronominal (resumption) since Akan is a tonal language. Methods & Procedures: First, we tested the ability to distinguish linguistic and non-linguistic tone in Akan agrammatic speakers. Then, we administered an elicitation task to five Akan agrammatic individuals, controlling for the structural variations in the realization of resumption: focused who-questions and declaratives with (i) only a resumptive pronoun, (ii) only a clause determiner, (iii) a resumptive pronoun and a clause determiner co-occurring, and (iv) neither a resumptive pronoun nor a clause determiner. Outcomes & Results: Tone discrimination .both for pitch and for lexical tone was unimpaired. The production task demonstrated that the production of resumptive pronouns and clause determiners was intact. However, the production of declarative sentences in derived word order was impaired; wh-object questions were relatively well-preserved. Conclusions: We argue that the problems with sentence production are highly selective: linguistic tones and resumption are intact but word order is impaired in non-canonical declarative sentences.